The new book Mastering the technique of Laparoscopic suturing and knotting written by Prof. R.K. Mishra is an asset for any surgeon and gynaecologists who wants to develop the davanced skill of minimal access surgery. Prof. Mishra has written many other books on Minimal Access Surgery. One very popular book of Prof. Mishra is Textbook of Practical Laparoscopic Surgery and another is Essentials of Laparoscopic Surgery. Laparoscopic Intra corporeal and Extra corporeal knot tying in minimal access surgery is an advanced skill. Mastering this skill is a difficult process with a long learning curve under the supervision of expert laparoscopic surgeon. Intra corporeal as well as extra corporeal suturing and knotting is essential to advanced laparoscopy and is a rate-limiting step in many procedures. Laparoscopy is a new skill not a new subject and a good skill is required if any surgeon want to become a good laparoscopic surgeon. Many different instruments and methods have been described for laparoscopic suturing and knot tying. Prof. Dr. R.K. Mishra is a master in minimal access surgery. He has experience of teaching laparoscopy to surgeons and gynaecologists since last 8 year. Prof. Mishra has developed many new techniques for laparoscopic knot tying. Prof. Mishra's Mishra Knot was published in World Journal of Laparoscopic Surgery in 2007 and since then hundreds of surgeon all over world is using Mishra's Knot.

This book is supplemented by very high quality 2 DVDs which shows all the important clinical aspect of laparoscopic knotting and suturing in video. After watching this video and carefully going through the text of principle of laparoscopic suturing and knotting, every surgeon will realized how much easy this skill is if tied with keeping in mind all the principles. Laparoscopic suturing and knotting is difficult to perform, especially when the manipulation angle between the working instruments is narrow and working space is limited. In all these situations, knot tying using this technique makes knotting more simple and easy to perform, especially for those who have limited experience in intracorporeal suturing and knot tying. No special instrument is required to perform knot tying with this technique. All the essential ergonomics require for highly skilled suturing is discussed in this state of the art book of suturing. This is a must having book for every laparoscopic surgeon.

Pioneering surgeon Prof. Dr. RK Mishra has a clinical approach and incisive style that puts this book in a class of its own and makes it a necessary part of every surgeon's and gynecologist's library. This edition is also enhanced by thousands of illustrations and additional two DVDs to demonstrate laparoscopic views for the surgeon.

Laparoscopic suturing presents an important minimal access surgical skills barrier to developing a laparoscopic surgical practice. A good book is must to learn laparoscopic knotting suturing. The formation of a slip-knot greatly assists in approximating tissue that may initially be under tension or when the suture material is difficult to tie owing to memory. During Laparoscopic suturing the property of resisting deformation is essential to keep in mind. In this book Prof. Mishra has describe here a technique that allows the surgeon to fashion an intracorporeal laparoscopic slip-knot in a controlled and consistent manner using either monofilament or braided suture material. All extra and intra corporeal knot is nicely demonstrated.

The laparoscopic suturing and knotting is a useful tool in the minimal access surgeon's armamentarium, particularly when edematous tissue needs to be apposed or when tissue is under tension. Experimental work comparing various laparoscopically tied knots has shown that the extracorporeal tied laparoscopic “square” slip-knot is better than the Roeder-type slip-knot and has inferior strength only compared with a surgeon's conventional knot. The ability to form a slip-knot may add confidence in tackling tasks that involve laparoscopic suturing.

This book of Laparoscopic Suturing and Knotting written by Prof. Dr. R.K. Mishra is must for surgeon and gynecologist who want to develop proficiency in suturing and knotting.